Thomas Leo Diana, PHD | |
66 E 3rd St, Winona, MN 55987-3478 | |
(507) 452-1021 | |
(507) 452-1504 |
Full Name | Thomas Leo Diana |
---|---|
Gender | Male |
Speciality | Psychologist - Health Service |
Location | 66 E 3rd St, Winona, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093874281 | NPI | - | NPPES |
731291041000 | Other | MN | PREFERRED ONE |
126921 | Other | MN | UCARE |
200048200 | Medicaid | MN | |
78G63DI | Other | MN | BCBS-MN |
HP41036 | Other | MN | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0100X | Psychologist - Health Service | LP1219 (Minnesota) | Primary |
Entity Name | Zumbro Valley Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801961263 PECOS PAC ID: 7810961703 Enrollment ID: O20040825001137 |
Mailing Address | Practice Location Address |
---|---|
Thomas Leo Diana, PHD 66 E 3rd St, Winona, MN 55987-3478 Ph: (507) 452-1021 | Thomas Leo Diana, PHD 66 E 3rd St, Winona, MN 55987-3478 Ph: (507) 452-1021 |
Diane V Petz, M.S., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 E 3rd St, 201, Winona, MN 55987 Phone: 507-452-7292 Fax: 507-457-9887 | |
Annette J Krutsch, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 111 Market St Ste 2, Winona, MN 55987 Phone: 507-454-2270 Fax: 507-457-3027 | |
David M Stoos, MA LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 166 Main St, Winona, MN 55987 Phone: 507-454-4341 Fax: 507-453-6267 | |
Marcy Van Fossen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 E 3rd St, 201, Winona, MN 55987 Phone: 507-452-7292 Fax: 507-457-9887 | |
Dr. Elizabeth Emily Seebach, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 112 Glen Mary Rd, Winona, MN 55987 Phone: 608-406-0640 | |
Wendy Draves, MS, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 614 W King St, Winona, MN 55987 Phone: 507-452-3954 |